About SCAN
SCAN Group is a not-for-profit organization dedicated to tackling the most pressing issues facing older adults in the United States. SCAN Group is the sole corporate member of SCAN Health Plan, one of the nation’s leading not-for-profit Medicare Advantage plans, serving more than 277,000 members in California, Arizona, Nevada, Texas and New Mexico. SCAN has been a mission-driven organization dedicated to keeping seniors healthy and independent for more than 45 years and is known throughout the healthcare industry and nationally as a leading expert in senior healthcare. SCAN employees are a group of talented, passionate professionals who are committed to supporting older adults on their aging journey, while also innovating healthcare for seniors everywhere. Employees are provided in-depth training and access to state-of-the-art tools necessary to do their jobs, as well as development and growth opportunities. SCAN takes great pride in recognizing our team members as experts in their fields and rewarding them for their efforts. If you are interested in becoming part of an organization that is innovating senior healthcare visit www.thescangroup.org, www.scanhealthplan.com, or follow us on LinkedIn, Facebook, and Twitter.
The Job
Supports the Health Care Services department in identifying business needs that can be addressed with technology, evaluating new technology solutions, and identifying and designing key business requirements, enhancements, and processes to drive technology implementation. Supports SCAN’s Care Management, UM, Care Coordination, GAD, and Claims modules within its primary technology platforms. Act as liaison among stakeholders in order to elicit, analyze, define and document requirements for solving business challenges using technology.
You Will
Supports and oversees key pieces of work associated with clinical and non-clinical customer service innovation and technology evaluation and implementation.
Develop business requirements associated with the implementation of new technologies supporting service and care delivery (e.g., telephony, campaign management, CRM, care management platform) as an opportunity to improve our overall service capabilities.
Collaborates with teams to perform continuous evaluation and assessment of existing service platform logic and business rules/processes. Ensures we are continuously assessing the effectiveness of care coordination and care management platform to maintain compliance with regulatory bodies and driving improved member outcomes. Collaborates effectively with both internal and external stakeholders.
Performs process design associated with current state and future state service and clinical models and evaluates new technologies to determine whether they meet existing business needs. Can design and drive project plans and meet milestones and key performance indicators.
Supports as Program Leadership for multi-functional customer-facing system integration with other platforms such as CRM, telephony, emerging AI technologies, and care management tools. This includes managing implementation of key systems associated with delivering end user experience, process design/re-design as needed, and ensuring systems are delivering SCAN’s vision.
Effectively leads team in ensuring collaboration with internal and external stakeholders to capture functional and technical requirements with the understanding of the IT landscape in order to produce software requirement specifications and integration transformation and translation mappings in a variety of formats, including but not limited to: Business Process and/or Data Flow Models, Business Requirements Documents (BRDs), Requirements traceability matrix and User Stories with Acceptance Criteria, as required.
Assists Director in preparation of department annual budget, annual program evaluation, meeting materials and presentations, and other activities as requested by management.
Effectively recruits, selects, and hires staff and supports staff results by communicating job expectations; planning, monitoring, and appraising job results; coaching and counseling employees.
Responsible for becoming deeply knowledgeable of the people, processes, technologies, and data supporting teams utilizing our care coordination and care management platform and other technologies utilized within the Health Care Services department and across SCAN.
Your Qualifications
Bachelor's Degree or equivalent experience
5+ years of experience with Internet, Intranet, Extranet, EDI, and client/server architectures is required.
5+ years of experience in creating business requirements documentation deliverables (BRD, FDD, RTM, EPIC, User Stories)
5+ years of experience in performing business requirements methodologies (business process flows, UML, work flowing, use case models)
Experience with large scale change management initiatives preferred
Experience with MHK is preferred
Experience with CRM platforms is preferred
Experience with coordinating diverse groups of individuals to achieve overall program success
Leadership- Lead and inspire teams to achieve
Problem Solving- Good problem-solving skills
Communication- Good communication and interpersonal skills
Outcome-focused, creative, iterative thinker with strong problem-solving skills.
Self-starter, quality and service oriented-minded; works with little supervision.
Strong planning, critical thinking and leadership skills. Ability to work well in a fast-paced and dynamic environment.
Strong data orientation. Ability to identify and incorporate Diversity, Equity, and Inclusion goals and tactics within strategic initiatives.
Proven background in successful management of innovation and implementation initiatives.
Proven background in successful implementation of technology.
Proven background in documenting business, technology, and data requirements.
Strong program management skills, using analytics, user research and other approaches to help make decisions and iterate on overall strategy.
Excellent interpersonal, group motivation and supervisory skills. Excellent written and oral communication skills, including presentation skills. Proficient in MS office.
Excellent organizational skills; ability to prioritize multiple and competing tasks, working independently and in a team environment. Demonstrated ability to work with all levels of staff, within and external to the organization to achieve goals.
What's in it for you?
We're always looking for talented people to join our team! Qualified applicants are encouraged to apply now!
At SCAN we believe that it is our business to improve the state of our world. Each of us has a responsibility to drive Equality in our communities and workplaces. We are committed to creating a workforce that reflects our community through inclusive programs and initiatives such as equal pay, employee resource groups, inclusive benefits, and more.
SCAN is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required.
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